Individual provider Active NPI

Leon Gustav Rosenkranz, M.D.

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1033114483
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
128439 Issued in NY
Practice address
435 S Gulfstream Ave
Sarasota, FL 34236-6736
Phone
(718) 974-7518
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 123694 FL
Internal Medicine Physician 207R00000X 128439 NY Primary

Addresses

Primary practice location

435 S Gulfstream Ave
Sarasota, FL 34236-6736

Mailing address

435 S Gulfstream Ave
Sarasota, FL 34236-6736
Phone (718) 974-7518

Other identifiers 3

IdentifierTypeStateIssuer
128439OtherNYNY STATE MEDICAL LICENSE
00319897MedicaidNY
123694OtherFLFLORIDA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100921000016 NY Practitioner - Internal Medicine 4183749682 Practice locations: Brooklyn, NY
I20181112001018 FL Practitioner - HospitalistPractitioner - Internal Medicine 4183749682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
123694FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
LMC Physician Services, PC Internal Medicine Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1501 N Orange Ave
Sarasota, FL 34236
Phone (941) 309-5763

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1033114483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S GULFSTREAM AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342366736",
            "telephone_number": "718-974-7518",
            "fax_number": "718-273-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S GULFSTREAM AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342366736",
            "telephone_number": "718-974-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENKRANZ",
        "first_name": "LEON",
        "middle_name": "GUSTAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "123694",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "128439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE MEDICAL LICENSE",
            "identifier": "128439",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00319897",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL  LICENSE",
            "identifier": "123694",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.